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The silent demand in the diagnostic phase
Engelsk titel: The silent demand in the diagnostic phase Läs online Författare: Giske T ; Gjengedal E ; Artinian B Språk: Eng Antal referenser: 33 Dokumenttyp: Artikel UI-nummer: 09033236

Tidskrift

Scandinavian Journal of Caring Sciences 2009;23(1)100-6 ISSN 0283-9318 E-ISSN 1471-6712 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Patients’ experience of going through the diagnostic phase in hospital is apt to be overlooked by nurses and physicians; most of their inner preparative work for receiving the diagnosis is hidden because of the vulnerability of the situation. This paper discusses findings from a grounded theory study, of 18 in-depth interviews of 15 patients going through medical investigation at a gastric ward in a Norwegian university hospital. The interviews were conducted in 2002-2003. The generated ‘Preparative Waiting Theory’, which accounts for how patients in the diagnostic phase work to prepare themselves for receiving a diagnosis, is discussed in relation to the Danish theologian and philosopher Løgstrup’s writings about the ethical demand and life utterances of trust, openness and the untouchable zone. The ethical demand from patients going through medical investigations is silent and radical, and thus challenging for nurses and physicians to judge how to best fulfil. Examples from the interviews are used to illustrate patients’ vulnerability as they prepare to face the conclusion about their case. To the extent trust develops between patients and nurses/physicians, patients can reveal what is at stake in their lives without feeling exposed or embarrassed. Because of the power nurses and physicians have in the healthcare system, and because of laws, morals and conventions guiding practice, we have a professional responsibility to develop a culture that fosters the ability and willingness to take care of our patients. Published by arrangement with John Wiley & Sons.